Chapter 17 (3)

Question 1

Many patients self-medicate with antacids. Which patients should be counseled to not take calcium
carbonate antacids without discussing it with their provider or a pharmacist first?

Answer 1

Patients with kidney stones

Question 2

Patients taking antacids should be educated regarding these drugs, including letting them know that:

Answer 2

all the above

Question 3

Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide:

Answer 3

Slows gastric motility and reduces fluid and electrolyte loss from diarrhea

Question 4

Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal complaints.
Bismuth subsalicylate:

Answer 4

all the above

Question 5

Hannah will be traveling to Mexico with her church group over spring break to build houses. She is concerned she may develop traveler’s diarrhea. Advice includes following normal food and water precautions as well as taking:

Answer 5

Bismuth subsalicylate with each meal and at bedtime

Question 6

Josie is a 5-year-old patient who presents to the clinic with a 48-hour history of nausea, vomiting, and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less than her last recorded weight. Besides IV fluids, her exam warrants the use of an antinausea medication. Which of the following would be the appropriate drug to order for Josie?

Answer 6

Ondansetron (Zofran)

Question 7

Jim presents with complaints of “heartburn” that is minimally relieved with Tums (calcium carbonate) and is diagnosed with gastroesophageal reflux disease (GERD). An appropriate first-step therapy would be:

Answer 7

Ranitidine (Zantac) twice a day

Question 8

Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for:

Answer 8

Iron deficiency anemia, vitamin B12 and calcium deficiency

Question 9

Sadie is a 72-year-old patient who takes omeprazole for her chronic GERD. Chronic long-term omeprazole use places her at increased risk for:

Answer 9

Megaloblastic anemia

Question 10

Patrick is a 10-year-old patient who presents with uncomfortable constipation. Along with diet changes, a laxative is ordered to provide more rapid relief of constipation. An appropriate choice of medication for a 10-year-old child would be:

Answer 10

Bisacodyl (Dulcolax) suppository

Question 11

Methylnaltrexone is used to treat constipation in:

Answer 11

Opioid-associated constipation

Question 12

An elderly person has been prescribed lactulose for treatment of chronic constipation. Monitoring with long-term treatment would include:

Answer 12

Electrolytes, including potassium and chloride